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Which Do You Own?:

Camper

Motorcycle

Boat

Truck

Trailer

Upon application by Applicant to become tenants in this residential living unit, Agent will remove the unit from the available rent list. Applicant will be furnished a copy of Landlord`s standard lease agreement to review. If this application is approved and Applicant and/or Guarantor, if required, fails to execute a lease agreement in substantially the form of Landlord`s standard lease agreement and begin paying rent on the date specified in this Application for occupancy of the premises, Applicant agrees to pay Landlord`s actual expenses and damages up to the full amount of the security deposit. Agent reserves the right to make all appropriate deductions from the deposit to recover the Landlord`s actual damages and expenses as allowed by applicable Virginia law,

DISCLOSURE OF BROKERAGE RELATIONSHIP:

Landlord and Applicant confirm that in connection with the transaction contemplated by this Application, the Listing Broker and its salespersons represent Landlord, and the Leasing Broker and its salespersons represent Landlord or Applicant. If Listing Broker is engaging in deal or designated agency, a separate consent agreement has been entered into by Listing Broker and Applicant.

Has any Applicant ever refused to pay rent when due, been a defendant in an unlawful detainer action or eviction, or otherwise been used by a landlord for maiters related to a tenancy? If so, please give details, and the status of any pending actions:

Applicant should exercise whatever due diligence Applicant deems necessary with respect to information on any sexual offenders registered under Chapter 23 (sec. 19.2-387 et seq.) of Title 19. Such information may be obtained by contacting your local police department or the Department of State Police, Central Records Exchange at (804) 674-2000 or https://sex-offender.va.virginia.gov.

The Applicant hereby certifies that the information contained in this Application for Lease is true and correct to the best of Applicant’s knowledge and belief. Applicant hereby authorizes Listing Broker to conduct a credit check on Applicant and an appropriate background check to verify information provided herein by Applicant for approval or rejection of this Application.

We have read the terms and conditions of this Application for Lease. We understand this is a binding contract separate and apart from the Lease Agreement.

Application For Lease

PLEASE FILL IN ALL INFORMATION COMPLETELY

1. Applicant

2. Co-Applicant

3. Other Occupants

4. Number of Vehicles

5. Pets

6. If You Are Presently In The Armed Services:

7. Other Income:

PLEASE LIST ANY CURRENT DEBTS NOW OUTSTANDING:

DISCLOSURE OF BROKERAGE RELATIONSHIP:

RENTAL AND CREDIT HISTORY:

LEASING BROKER

(CREDIT REPORT AUTHORIZATION)

Applicant

Co Applicant